Central Suffolk Hospital

NPI 1043402050 - Physician Assistant - 363A00000X

NPI Details
NPI 1043402050
Enumeration Date 08/14/2007
Last Updated 03/19/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDREW ANDREW
Position PRESIDENT/CEO
Phone (631) 548-6116
Fax (631) 548-6007
Practice Location
1300 ROANOKE AVE
RIVERHEAD NY, 11901-2031, US
Phone (631) 548-6116
Fax (631) 548-6007
Business Location
1300 ROANOKE AVE
RIVERHEAD NY, 11901-2031, US
Phone (631) 548-6116
Fax (631) 548-6007
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Central Suffolk Hospital NPI is 1043402050, taxonomy code is 363A00000X Central Suffolk Hospital physically located at 1300 Roanoke Ave, Riverhead NY, 11901-2031. NPI Number 1033115704 has the healthcare provider type.

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1043402050 NPI number is provided on an as is basis without warranty of any kind. 1043402050 is maintained by the National Plan & Provider Enumeration System. The contents of Central Suffolk Hospital are for informational purposes only.